Organization
DENTAL SPECIALTY ASSOCIATES OF GRAMERCY
Active
Organization
DENTAL SPECIALTY ASSOCIATES OF GRAMERCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MAIMONE DR. (OWNER)
(212) 228-2505
Entity
Organization
Contact information
Practice address
205 E 16TH ST STE LL, NEW YORK, NY 10003-3790
(212) 228-2505
Mailing address
205 E 16TH ST STE LL, NEW YORK, NY 10003-3790
(212) 228-2505
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
37188
NY
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
37188
NY
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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